Galactic 1

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
  3070 - CCLR 57(2)(d)
• A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached,
  3070 - CCLR 57(3)(a)

• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing reviewed 10 of 49 children's file. Two files were missing emergency contacts.

  Corrective action. Ensure to keep a record for each child showing emergency contacts.

  3070 - CCLR 57(2)(d)
• A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached,

  Observation. Licensing reviewed 10 of 49 children's files. Four were missing consent to call an ambulance in an emergency.

  Corrective action. Ensure to keep a record for each child showing consent to call an ambulance in an emergency.

  3070 - CCLR 57(3)(a)

No violations recorded at this inspection.

No violations recorded at this inspection.

No violations recorded at this inspection.

• Log kept of all inspections, maintenance & repairs

  Observation. Licensing observed the outdoor check list last completed on October 3, 2023.

  Corrective action. Ensure a log is kept of all inspections, maintenance and repairs.

  3070 - SPS DOLSOP (Log Kept)

No violations recorded at this inspection.

• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

  Observation. Licensing reviewed the process for school pick ups. It was determined staff at the school waiting for children to be dismissed did not have access to children's emergency information or photos.

  Corrective action. Ensure to operate a community care facility in a manner that will promote the health, safety & dignity of persons in care.

  3070 - CCALA 7(1)(b)(i)
• A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure

  Observation. Licensing reviewed the process of signing children in each day. It was determined that children weren't being signed in upon transfer of care by staff picking up at the school. Children were being signed in once they arrived at the facility.

  Corrective action. Ensure to keep a record for each child showing time of arrival and departure.

  3070 - CCLR 57(2)(c)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing reviewed 9 of 60 files. One file was missing immunization status.

  Corrective action. Ensure to keep a record for each child showing immunization status.

  3070 - CCLR 57(2)(a)

No violations recorded at this inspection.

• A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child

  Observation. Licensing reviewed 10 of 60 files. 10 files were missing record persons not permitted access. Licensee to add this section to the registration forms.

  Corrective action. Ensure to keep record for each child showing persons not permitted access to child.

  3070 - CCLR 57(2)(j)
• To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,
  3010 - CCLR 29(c)
• A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs
  3010 - CCLR 19(1)(f)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing observed one child with an inhaler and instructions that stated "for emergency use". There was no care plan in place with details as to when and how to administer the inhaler. Licensee/Manager stated there are multiple care plans in process by previous manager. They were unaware of the children the care plans were for or if they were complete.

  Corrective action. Ensure to develop a care plan in consultation with a parent and any persons requested by parent.

  3070 - CCLR 58(2)(a)
• A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure

  Observation. Licensing observed two children signed in to the downstairs program, in the upstairs room. Licensee stated they don't sign children out of one room and in to another if they move around.

  Corrective action. Ensure for each child a record showing the time of arrival and departure in each program.

  3070 - CCLR 57(2)(c)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing reviewed 10 of 60 children's files. One file was missing immunization status.

  Corrective action. Ensure to keep a record for each child showing immunization status.

  3070 - CCLR 57(2)(a)
• A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee,

  Observation. Licensing observed in the Communication Book an incident on September 26, 2022 that was not reported to Licensing.

  Corrective action. Ensure to notify the medical health officer within 24 hours after a child was or may have been involved in a reportable incident.

  3070 - CCLR 55(2)(a)

• A licensee must notify the medical health officer within 24 hours after (a) a child is involved in, or may have been involved in, a reportable incident described in Schedule H while under the care or supervision of the licensee,

  Observation. Licensing observed in the Communication Book an incident on September 26, 2022 that was not reported to Licensing.

  Corrective action. Ensure to notify the medical health officer within 24 hours after a child was or may have been involved in a reportable incident.

  3070 - CCLR 55(2)(a)
• A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

  Observation. Licensing reviewed 6 of 6 staff files. One file was missing immunization status.

  Corrective action. Ensure not to employ a person without first obtaining immunization status.

  3010 - CCLR 19(1)(f)
• To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,

  Observation. Licensing reviewed 6 of 6 staff files. One file was missing evidence of 20 hours of training for Responsible Adult status.

  Corrective action. Ensure not to employ someone until first obtaining responsible adult training.

  3010 - CCLR 29(c)
• A licensee must keep, for each child, a record showing the following information: (a)name, sex, date of birth, medical insurance plan number (MSP number does not apply to REC only) and immunization status.

  Observation. Licensing reviewed 10 of 60 children's files. One file was missing immunization status.

  Corrective action. Ensure to keep a record for each child showing immunization status.

  3070 - CCLR 57(2)(a)
• A licensee must keep, for each child, a record showing the following information: (c) daily attendance record, indicating for each day whether the child is absent or, if the child is present, the time of arrival and departure

  Observation. Licensing observed two children signed in to the downstairs program, in the upstairs room. Licensee stated they don't sign children out of one room and in to another if they move around.

  Corrective action. Ensure for each child a record showing the time of arrival and departure in each program.

  3070 - CCLR 57(2)(c)
• A licensee must keep, for each child, a record showing the following information: (j) a record of any person who is not permitted access to the child

  Observation. Licensing reviewed 10 of 60 files. 10 files were missing record persons not permitted access. Licensee to add this section to the registration forms.

  Corrective action. Ensure to keep record for each child showing persons not permitted access to child.

  3070 - CCLR 57(2)(j)
• The licensee must develop the care plan in consultation,with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing observed one child with an inhaler and instructions that stated "for emergency use". There was no care plan in place with details as to when and how to administer the inhaler. Licensee/Manager stated there are multiple care plans in process by previous manager. They were unaware of the children the care plans were for or if they were complete.

  Corrective action. Ensure to develop a care plan in consultation with a parent and any persons requested by parent.

  3070 - CCLR 58(2)(a)

• The licensee must record compliance with the care plan of a child requiring extra support in respect of each of the following that are applicable to the child:any other matter for which the licensee has agreed with the parent of the child to record compliance.

  Observation. Licensing audited 10 of 84 children's files of which one care plan of a child requiring extra support did not have record of compliance.

  Corrective action. Ensure Licensee must record compliance with the care pan of a child requiring extra support in respect of each of the following that are applicable to the child: any other matter for which the Licensee has agreed with the parent of the child to record compliance.

  3070 - CCLR 58(3)(e)
• The licensee must record compliance with the care plan of a child requiring extra support in respect of each of the following that are applicable to the child:any other matter for which the licensee has agreed with the parent of the child to record compliance.
  3070 - CCLR 58(3)(e)
• The licensee must review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.

  Observation. Licensing audited ten of 84 children's files of which one was missing the date the care plan was last reviewed and/or created.

  Corrective action. Ensure Licensee must review the care plan at least once each year with a parent if the child requiring extra support and any person requested by the parent.

  3070 - CCLR 58(2)(b)
• The licensee must review the care plan at least once each year with a parent of the child requiring extra support and any person requested by the parent.
  3070 - CCLR 58(2)(b)
• A licensee must keep, for each child requiring extra support, a current care plan showing the following information: the courses of action recommended by health care professionals to address the needs of the child requiring extra support

  Observation. Licensing audited ten of 84 children's files of which one was missing a current care plan showing the courses of action recommended by health care professionals to address the needs of the child requiring extra support.

  Corrective action. Ensure Licensee must keep, for each child requiring extra support, a current care plan showing the courses of action recommended by health care professionals to address the needs of the child requiring extra support.

  3070 - CCLR 58(1)(b)
• A licensee must keep, for each child requiring extra support, a current care plan showing the following information: the courses of action recommended by health care professionals to address the needs of the child requiring extra support
  3070 - CCLR 58(1)(b)
• A licensee must keep, for each child requiring extra support, a current care plan showing the following information: the diagnoses relevant to the child’s requirement for extra support, as made by health care professionals

  Observation. Licensing audited 10 of 84 children's files of which one was missing a current care plan showing a diagnosis relevant to the child's requirement for extra support, as made by health care professionals.

  Corrective action. Ensure Licensee must keep, for each child requiring extra support, a current care plan showing the following information: diagnosis relevant to the child's requirement for extra support, as made by health care professionals.

  3070 - CCLR 58(1)(a)
• A licensee must keep, for each child requiring extra support, a current care plan showing the following information: the diagnoses relevant to the child’s requirement for extra support, as made by health care professionals
  3070 - CCLR 58(1)(a)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact

  Observation. Licensing audited 10 of 84 children's files of which one was missing the name and telephone number of a medical practitioner.

  Corrective action. Ensure Licensee must keep, for each child, a record showing the following information: (d) the name and telephone number of a parent, medical practitioner and emergency contact.

  3070 - CCLR 57(2)(d)
• A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner (doctor's name and number does not apply to REC only) and emergency contact
  3070 - CCLR 57(2)(d)
• A licensee must ensure that safe drinking water is available to children.

  Observation. On March 10, 2020, lab results dated March 4, 2020 for this facility were received by email. The results show that SAMPLES A and B are in excess of the Maximum Allowable Concentration (MAC) for the stagnant water and below the MAC for the 2 minute flush. Corrective action plan was requested from Licensee. A plan for corrective action is to be submitted to Licensing by September 1, 2021. Full compliance will not be achieved until the plan has been implemented and completed.

  Corrective action. Ensure that safe drinking water is available to children.

  3050 - CCLR 48(5)
• A licensee must ensure that an employee who supervises a child who self-administers medication documents the administration of the medication in the child’s care plan.

  Observation. Staff stated child who self-administers medication does not have a care plan.

  Corrective action. Ensure that an employee who supervises a child who self-administers medication documents the administration of the medication in the child's care plan.

  3040 - CCLR 53(4)
• A licensee must ensure that an employee who supervises a child who self-administers medication documents the administration of the medication in the child’s care plan.
  3040 - CCLR 53(4)
• To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,

  Observation. Licensing audited three staff files of which one was missing evidence of a person having completed a course, or a combination of courses, of at least 20 hours in child development, guidance, health and safety, or nutrition.

  Corrective action. Ensure for employment in a community care facility as a responsible adult, a person must complete a course, or a combination of courses, of at least 20 hours in child development, guidance, health and safety, or nutrition.

  3010 - CCLR 29(c)
• To qualify for employment in a community care facility as a responsible adult, a person must have completed a course, or a combination of courses, of at least 20 hours duration in child development, guidance, health and safety, or nutrition,
  3010 - CCLR 29(c)
• A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs
  3010 - CCLR 19(1)(f)
• A licensee must ensure that children do not have access to any object or substance that may be hazardous to the health or safety of a child
  3000 - CCLR 17
• A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province’s immunization and tuberculosis control programs

  Observation. Licensing audited three staff files of which one was missing evidence that the person has complied with the Province's immunization and tuberculosis control programs.

  Corrective action. Ensure a Licensee must not employ a person in a community care facility unless the Licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: evidence that the person has complied with the Province's immunization and TB control programs.

  3010 - CCLR 19(1)(f)
• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

  Observation. Licensing observed communication book not being implemented as stated in approved health and safety plan dated July 6, 2021.

  Corrective action. Ensure Licensee must of all of the following: (b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care.

  3080 - CCALA 7(1)(b)(i)
• A licensee must do all of the following:(b) operate the community care facility in a manner that will promote the health, safety and dignity of persons in care
  3080 - CCALA 7(1)(b)(i)

No violations recorded at this inspection.